Samuel Roth Skovgaard, MD - Medicare General Surgery in Port Angeles, WA

Samuel Roth Skovgaard, MD is a medicare enrolled "Surgery" physician in Port Angeles, Washington. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Olympic Medical Physicians and his current practice location is 519 S Peabody St, Port Angeles, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 417-7000.

Samuel Roth Skovgaard is licensed to practice in Washington (license number MD61321058) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184088155.

Contact Information

Samuel Roth Skovgaard, MD
519 S Peabody St,
Port Angeles, WA 98362-6229
(360) 417-7000
(360) 565-9241



Physician's Profile

Full NameSamuel Roth Skovgaard
GenderMale
SpecialityGeneral Surgery
Experience8 Years
Location519 S Peabody St, Port Angeles, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Roth Skovgaard graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1184088155
  • Provider Enumeration Date: 04/06/2016
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305138496
  • Enrollment ID: I20220830000319

Medical Identifiers

Medical identifiers for Samuel Roth Skovgaard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184088155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD61321058 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Olympic Medical CenterPort angeles, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Olympic Medical Physicians9537172358113

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samuel Roth Skovgaard allows following entities to bill medicare on his behalf.
Entity NameOlympic Medical Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427081967
PECOS PAC ID: 9537172358
Enrollment ID: O20060721000246

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Roth Skovgaard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Roth Skovgaard, MD
519 S Peabody St,
Port Angeles, WA 98362-6229

Ph: (360) 565-9237
Samuel Roth Skovgaard, MD
519 S Peabody St,
Port Angeles, WA 98362-6229

Ph: (360) 417-7000

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Surgery Doctors in Port Angeles, WA

Dr. Jimmy Y. Chung, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 907 Georgiana St, Port Angeles, WA 98362
Phone: 360-565-0999    
Michael Edward Reopelle, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 939 Caroline St, Port Angeles, WA 98362
Phone: 360-417-7000    
Dr. Sandra J Tatro, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 907 Georgiana St, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-417-0127
Dr. Matthew Trieff Levy, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 907 Georgiana St, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-417-0127
Georgia E. Heisterkamp, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 907 Georgiana St, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-417-0127
Charles A Bundy, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 907 Georgiana St, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-417-0127

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